Jane Ellen Echterling, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6778 Issued in FL

Practice address

Northeast Florida State Hospital
7487 S. State Road 121
Macclenny, FL 32063

Phone

(904) 259-6211

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr. Townsend and Associates, P.a.Group PAC ID 4587852249, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Townsend & Associates, P.a.

  • Clinical Psychologist
  • St Augustine, FL
  • NPI 1497066344
  Medicare reassignment Care Compare group NPD
• Integrated Psychological Services LLC

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1790964807
  Medicare reassignment NPD
• Dr. Steven P. Dingfelder & Assoc., Inc.

  • Clinical Psychologist
  • St. Augustine, FL
  • NPI 1609886696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174734073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 NW 27TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066414",
            "telephone_number": "352-377-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHEAST FLORIDA STATE HOSPITAL",
            "address_2": "7487 S. STATE ROAD 121",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "32063",
            "telephone_number": "904-259-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHTERLING",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gary Dugger, PHARMD
• Toribio M Duhaylungsod, M.D.
• Austin George Dupont, MD
• Cheryl Dyer
• Robin Eaddy
• Bradley James Edwards, RN
• Tina Louise Edwards
• Elevated Health & Company, LLC
• Elizabeth Southard, LMHC, LLC
• Cristin Ellis

• Clinical Psychologist in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.